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Clinical Indication

Documented indication present critical (required)

Verify the chart includes a clear reason for antimicrobial therapy.

Yes No N/A

Indication is clinically appropriate critical (required)

Assess whether the documented indication supports antimicrobial use.

Yes No N/A

Empiric vs targeted therapy documented

Identify the treatment intent to support stewardship review.

Source of infection identified

Confirm whether the suspected or confirmed infection source is documented.

Yes No N/A

Agent Selection

Selected agent is guideline-concordant critical (required)

Determine whether the antimicrobial choice aligns with local or national guidance.

Yes No N/A

Dose and route are appropriate critical (required)

Check that the dose, frequency, and route are appropriate for the patient and infection.

Yes No N/A

Spectrum is appropriate

Rate whether the antimicrobial spectrum is appropriately narrow for the clinical scenario.

Allergy or interaction considerations addressed

Confirm relevant allergies, contraindications, and interactions were considered.

Yes No N/A

Duration and Stop Date

Planned duration documented critical (required)

Verify a stop date or intended duration is documented.

Yes No N/A

Duration is consistent with indication critical (required)

Assess whether the duration matches the infection type and clinical response.

Yes No N/A

Therapy reviewed for early discontinuation

Check whether therapy was reassessed for potential shortening or discontinuation.

Yes No N/A

De-escalation and Culture Review

Cultures obtained before antibiotics when indicated

Confirm appropriate cultures were collected prior to antimicrobial initiation when feasible.

Yes No N/A

Culture and susceptibility results reviewed critical (required)

Verify microbiology results were reviewed in a timely manner.

Yes No N/A

Therapy de-escalated when appropriate critical (required)

Determine whether therapy was narrowed, stopped, or changed based on results and clinical status.

Yes No N/A

Follow-up action documented

Confirm any stewardship recommendation, change, or follow-up plan is documented.

Yes No N/A

Documentation and Stewardship Notes

Stewardship concern identified

Identify the primary stewardship issue, if any.

Recommended corrective action

Document the recommended action, if a gap was identified.

Audit reviewer comments

Add any additional notes relevant to the review.

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Run: Antimicrobial Stewardship Audit

Clinical Indication

Agent Selection

Duration and Stop Date

De-escalation and Culture Review

Documentation and Stewardship Notes

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